<%-- 
    Document   : Daftar
    Created on : Nov 2, 2012, 11:46:09 PM
    Author     : Acer
--%>

<%@page import="java.util.Date"%>
<%@page contentType="text/html" pageEncoding="UTF-8"%>
<!DOCTYPE html>
<html>
    <head>
        <meta http-equiv="Content-Type" content="text/html; charset=UTF-8">
        <title>Pendaftaran</title>
        
        <style type="text/css">
            h1 {text-decoration: overline}
          

        </style>
        
    </head>
    
    <body background="back1.jpg">
        <h1 align="center"><u>Registrasi Calon Siswa Baru</u></h1>
        <form method = post  action="insertDaftar.jsp">
            <table border="0" width="100%">
                <tr>
                    <td width="15%"> Tanggal Regristrasi </td>
                    <td> : <%=new java.util.Date() %></td>
                    
                </tr>          
                
               
                <tr>
                    <td width="15%"> Nama Lengkap </td>
                    <td> : <input type = "text" name ="nama" size="70"></td>
                </tr>
                <tr>
                    <td width="15%"> Jenis Kelamin </td>
                    <td>
                        <input type="radio" name="jk" value="Laki-laki" />Laki-laki
                        <br>
                        <input type="radio" name="jk" value="Perempuan" />Perempuan
                        <br>
                    </td>
                </tr>
                <tr>
                    <td width="15%"> Tempat Lahir </td>
                    <td> : <input type = "text" name ="tempat" size="70"></td>
                </tr>
                <tr>
                    <td width="15%"> Tanggal Lahir </td>
                    <td> : <input type = "text" name ="tglLahir" size="20"> (DD-MM-YYYY) </td>
                </tr>
                <tr>
                    <td width="15%"> Asal SMP </td>
                    <td> : <input type = "text" name ="asal" size="70"></td>
                </tr>
                <tr>
                    <td width="15%"> Alamat </td>
                    <td> : <input type = "text" name ="alamat" size="70"></td>
                </tr>

            </table>

            <hr />
            <h2>Nilai Akademik</h2>
            <hr />
            <table border="0" width="100%">
                <tr>
                    <td width="15%"> Bahasa Indonesia </td>
                    <td> : <input type = "text" name ="bi" size="10"></td>
                </tr>
                <tr>
                    <td width="15%"> Bahasa Inggris </td>
                    <td> : <input type = "text" name ="bing" size="10"></td>
                </tr>
                <tr>
                    <td width="15%"> Matematika </td>
                    <td> : <input type = "text" name ="mtk" size="10"></td>
                </tr>
                <tr>
                    <td width="15%"> IPA </td>
                    <td> : <input type = "text" name ="ipa" size="10"></td>
                </tr>

            </table>
            <p> *diisi dengan angka
            <hr />
            
            <tr>
                <td><input type="submit" value="Daftar"></td>
            </tr>
            

        </form>
    </body>
</html>
